Notes for S. P. S. S. I. Members

Summary

It is argued that Levin (1) has answered a question Schneider (3) did not ask. Logically, then Levin's procedure does not question the answer Schneider reported, but is appropriate for answering the question he raises.     

The importance of I.P. Pavlov for the development of neuroscience.

By his experimental and theoretical work on the physiology and pathophysiology of the higher nervous activity I.P. Pavlov significantly influenced the development of Neuroscience. During the 1950 Pavlovian Conference in Moscow, Stalin and the Communist Party tried to dogmatize his and his pupils' fundamental theories. But the Pavlovian ideas were developed by his pupils in open discussions with representatives of other schools in a very creative way, opening the doors for a systemic approach to understanding the integrative functional systems of brain and behavior. Pavlov emphasized the high plasticity of the central nervous system, investigated the complex functional systems within the brain and between the organism and its environment, and designed models for pathological deviations of the higher nervous activity. During his last years, he freed himself from the strong deterministic view and characterized the organism and its environment as a self-organizing system.     

Qualifications for Membership in the A.G.P.A.

A model of the development of group therapists is presented. It is proposed that student group therapists proceed through a sequence of stages, each of which is marked by characteristic therapist behavior. During the initial Group shock phase, the student reacts to the novelty of group therapy stimuli with individual therapy or content-oriented approaches. Reappraisal is a period of some therapist inhibition, frustration, or self-doubt. One step behind is a phase characterized by a gradual recognition of the process level of analysis, despite difficulty supplying the interventions autonomously. Using the here-and-now is a period of active intervention about interpersonal phenomena among group members. The techniques for highlighting this material are refined in the Polishing skills phase. The usefulness of models in training is discussed.     

Delivery of internet treatment for compulsive hoarding (D.I.T.C.H.)

This study tested the effectiveness of an existing private online CBT-based group intervention designed to help people with hoarding. Web-group participants were hypothesized to show more improvement in hoarding symptoms over time compared to those placed on a naturalistic waitlist. This web-based self-help group (N = 106 members, N = 155 waitlisted) includes a formal application process and requires that participants post action steps and progress at least once monthly. Members have access to educational resources on hoarding, cognitive strategies, and a chat-group. Potential research participants were invited to complete an anonymous web-based survey about their hoarding behaviors and clinical improvement on five occasions (3 months apart). The sample was mainly middle-aged, female and White. Regression analyses show that Recent members reported greater improvement and less clutter at 6 months (than Waitlist). Long-term members reported milder hoarding symptoms than Recent ones, suggesting benefits from group participation over time. All members showed reductions in clutter and hoarding symptoms over 15 months. Less posting activity was associated with greater hoarding severity. Online CBT-based self-help for hoarding appears to be a promising intervention strategy that may extend access to treatment. Evaluating the benefits of internet self-help groups is critical given growing popularity of and demand for web-based interventions.     

G.A.T.S. and universities: Implications for research

The likely impact of applying the General Agreement on Trade in Services (GATS) to higher education are examined. GATS aims to “open up” services to competition: no preference can be shown to national or government providers. The consequences for teaching are likely to be that private companies, with degree-awarding powers, would be eligible for the same subsidies as public providers. Appealing to the inadequate recently introduced “benchmark” statements as proof of quality, they would provide a “bare bones” service at lower cost. Public subsidies would go: education being reduced to that minimum which could be packaged in terms of verifiable “learning outcomes”. The loss of “higher” aspirations, such education of critically-minded citizens of a democratic and civilised society would impoverish the university’s research culture which demands honesty and openness to public scrutiny. Most university research is substantially supported by public subsidy. Under GATS discipline, commercial providers of research services could be entitled to similar public subsidies. Publicly funded fundamental research would fade, leaving university research totally dependent for funds upon the good will of industry and commerce. Present problems, such as the suppression of unwelcome results and the use of questionable results to manipulate public opinion, would considerably increase. The public would lose a prime source of trustworthy knowledge, needed in political discourse, legal disputation, consumer protection and in many other contexts.     

Injury control. A promising field for psychologists.

Injury is the fourth leading cause of death for all Americans and the most frequent cause of death for those from age 1 to 45. Moreover, injury is associated with higher treatment costs and with greater lost life-years than the other three leading causes of death. Traffic accidents are the leading cause of severe brain injury, including most paraplegic and quadriplegic cases. Because injury control is essentially psychological, there are many opportunities for psychologists to contribute, both to scientific research on the causes of injury and to clinical interventions for injury control.     

Lessons from Watergate. A derivative for psychoanalysis.

Periods of social upheaval, by revealing aspects of behavior ordinarily repressed, provide an opportunity for deepening out insights into the nature of man. The searing experience of Watergate is viewed not as the psychopathology of a man, or the group psychology of forty men under the ex-President, but as reflecting psychic processes at the base of the population pyramid. The people supported Nixon for a quarter century during which his character traits were known, and were in collusion with the cover-up to the end during the two and half years of Watergate. The theory is advanced that this was due to an identification with Nixon based on the universal wish to triumph over the superego. Ego-superego conflicts are as ubiquitous and ongoing in mental life as the struggle between ego and id. The latter results in neuroses, the former in compromises of integrity. The 'syndrome of the compromise of integrity' is on a par with neurosis in human affairs.     

Effectiveness of virtual reality for pediatric pain distraction during i.v. placement.

The objective of this study was to test the efficacy and suitability of virtual reality (VR) as a pain distraction for pediatric intravenous (i.v.) placement. Twenty children (12 boys, 8 girls) requiring i.v. placement for a magnetic resonance imaging/computed tomography (MRI/CT) scan were randomly assigned to two conditions: (1) VR distraction using Street Luge (5DT), presented via a head-mounted display, or (2) standard of care (topical anesthetic) with no distraction. Children, their parents, and nurses completed self-report questionnaires that assessed numerous health-related outcomes. Responses from the Faces Pain Scale-Revised indicated a fourfold increase in affective pain within the control condition; by contrast, no significant differences were detected within the VR condition. Significant associations between multiple measures of anticipatory anxiety, affective pain, i.v. pain intensity, and measures of past procedural pain provided support for the complex interplay of a multimodal assessment of pain perception. There was also a sufficient amount of evidence supporting the efficacy of Street Luge as a pediatric pain distraction tool during i.v. placement: an adequate level of presence, no simulator sickness, and significantly more child-, parent-, and nurse-reported satisfaction with pain management. VR pain distraction was positively endorsed by all reporters and is a promising tool for decreasing pain, and anxiety in children undergoing acute medical interventions. However, further research with larger sample sizes and other routine medical procedures is warranted.     

Evidence for clinical smoking cessation for adolescents.

OBJECTIVE: This report reviews the evidence that informs the role of health and mental health care providers in addressing youth smoking cessation. DESIGN: Qualitative literature review. RESULTS: Physicians do not consistently screen adolescents for tobacco use and fail to provide recommended cessation advice. Challenges to addressing smoking cessation include the need for procedures to ensure confidentiality and the existence of competing demands to provide other services. Few published studies have specifically addressed the effectiveness of clinical interventions. Interventions that require return visits or follow-up phone contacts are technically difficult to implement in this population. Successful interventions may require resources not available in nonresearch settings. Most studies have used brief clinical intervention as a control condition, making it impossible to evaluate its effectiveness. CONCLUSION: There is little evidence that supports current clinical smoking cessation guidelines for adolescents. More research is needed to develop inexpensive, efficient clinical interventions that can provide youths access to smoking cessation help. Future challenges include reorganizing clinical systems to offer greater counseling by support staff or in electronic formats and to provide effective booster messages and follow-up care in a population that is difficult to track.     

The importance of I. P. Pavlov for the development of neuroscience

By his experimental and theoretical work on the physiology and pathophysiology of the higher nervous activity I.P. Pavlov significantly influenced the development of Neuroscience. During the 1950 Pavlovian Conference in Moscow, Stalin and the Communist Party tried to dogmatize his and his pupils’ fundamental theories. But the Pavlovian ideas were developed by his pupils in open discussions with representatives of other schools in a very creative way, opening the doors for a systemic approach to understanding the integrative functional systems of brain and behavior. Pavlov emphasized the high plasticity of the central nervous system investigated the complex functional systems within the brain and between the organism and its environment, and designed models for pathological deviations of the higher nervous activity. During his last years, he freed himself from the strong deterministic view and characterized the organism and its environment as a self-organizing system. Lecture at the Annual Meeting of the Pavlovian Society, November 1, 1998, Dusseldorf, Germany.